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Change Order-PCA - HRP Construction - Ireland Road Emergency Repairs - Proj No 116-083E
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Change Order-PCA - HRP Construction - Ireland Road Emergency Repairs - Proj No 116-083E
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3/28/2025 1:41:39 PM
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Board of Public Works
Document Type
Projects
Document Date
12/22/2016
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�Finaf Waiver of Lien <br />STATE OF INDIANA, as: <br />Whereas, the undersigned HRP CONSTRUCTION INC. has been heretofore em- <br />ployed by City of South Bend Board of Public Works to fumish certain material and labor, <br />to -wit: Ireland Road Emergency Repairs, Project No. 116-083E, St. Joseph County, Indiana <br />for the property owned by City of South Bend and located on <br />Ireland Road <br />City of South Bend , County of St. Joseph State of Indiana. <br />Now THEREFORE, KNOW YE, That the undersigned, for and in consideration of <br />$ 2, 975.03 Dollars, the receipt of which is hereby acknowledged, hereby and now <br />waives and releases unto the said owner of said premises, any and all lien, right of lien or claim of whatsoever <br />kind of character on the above described building and real estate, 70ANDFOR SAIDAMOUNT, on account of any and <br />all labor material, or both, fumished for or incorporated into said building by the undersigned, up to this date, <br />and they further certify that the consideration moving to the undersigned for executing this FINAL <br />WAIVE OF LIEN has been mutually given and accepted as a part payment to or on account of the said <br />Owner for said budding and real estate. <br />Signed, sealed and delivered this 13th day of December 20 16 <br />Signed '7\ .....� <br />Nancy Knapik <br />Personally appeared before me this 13th day of December 120 16 <br />Nancy Knapik who, being duly sworn on oath, says: That he <br />is Controller of the HRP CONSTRUCTION INC. and that �he hereby;;, <br />acknowledges the execution of the foregoing instrument for and on behalf of said <br />Corporation and at their special instance and request, <br />My Commission Expires 3/06/24 K1,744h zaldz4&Notary Public <br />Citrdy Vanheste This instrument prepared by: Nancy Knapik <br />
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